TIFFANY LOUISE GREEN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003278

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

LOUISE

Last Name

GREEN

Business Name

TIFFANY LOUISE GREEN

Original Issue Date

12/05/2011

Effective Date

12/05/2011

Expiration Date

05/31/2012

City

WALLACE

State

Zip

49893

Ever Disciplined

LastModifiedDate

03/08/2012